| NPI | 1225688724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL lmh22663) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-97695) |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2023-12-28 |