| NPI | 1235423815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH17339) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 0-13-5686) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2019-10-01 |