| NPI | 1184875312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 9873) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 9873) |
| 103K00000X Behavior Analyst (Licence: FL 1-21-47877) | |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2021-12-27 |