| NPI | 1205245354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH27131) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-03-1195) |
| Enumeration Date | 2014-08-02 |
| Last Update Date | 2025-01-23 |