| NPI | 1245669944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW10184) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL SW 10184) |
| 103K00000X Behavior Analyst (Licence: FL SW 10184) | |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2017-10-20 |