| NPI | 1134504046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH19536) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 101YM0800X Counselor, Mental Health (Licence: FL IMH16863) | |
| 171M00000X Case Manager/Care Coordinator (Licence: FL CBHCMS100491) | |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2024-05-28 |