| NPI | 1225363898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 13066) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-07-3871) |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2022-01-07 |