| NPI | 1205063468 |
|---|---|
| Former Name | FIDJI ALFRED |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL mh9251) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2023-06-08 |