| NPI | 1164953261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH20897) |
| Additional Taxonomies | 101YS0200X Counselor, School |
| 103K00000X Behavior Analyst | |
| 106E00000X Assistant Behavior Analyst | |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2023-05-31 |