| NPI | 1104599448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH18586) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH18586) |
| 101YP2500X Counselor, Professional (Licence: FL MH18586) | |
| 103K00000X Behavior Analyst (Licence: FL MH18586) | |
| 174400000X Specialist (Licence: FL MH18586) | |
| Enumeration Date | 2021-07-30 |
| Last Update Date | 2021-07-30 |