| NPI | 1144620303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL RBT-16-18130) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2016-06-29 |