| NPI | 1225486830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL LMHC15742) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 15742) |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2019-03-25 |