| NPI | 1083872295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH10803) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-15-21083) |
| Enumeration Date | 2008-05-26 |
| Last Update Date | 2026-05-22 |