| NPI | 1235582073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW16158) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW16158) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2016-07-17 |
| Last Update Date | 2024-02-22 |