| NPI | 1093017501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH20409) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-10-7662) |
| Enumeration Date | 2010-12-03 |
| Last Update Date | 2022-06-03 |