| NPI | 1093343139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH21079) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 104100000X Social Worker (Licence: FL CBHCMS101162) | |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2024-03-13 |