| NPI | 1093141269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 16583) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH15853) |
| 101YM0800X Counselor, Mental Health (Licence: FL MH 9234) | |
| 101YP2500X Counselor, Professional (Licence: NC 10920) | |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2021-06-11 |