NPI | 1154823409 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH25073) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 23477) |
106S00000X Behavior Technician (Licence: FL RBT-18-51009) | |
Enumeration Date | 2018-03-02 |
Last Update Date | 2025-07-15 |