| NPI | 1124685144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH16059) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2023-10-17 |