| NPI | 1154874378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: FL MH19503) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 19503) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2023-03-27 |