| NPI | 1245750082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 101Y00000X Counselor (Licence: FL MH23110) | |
| 101YM0800X Counselor, Mental Health (Licence: FL MH23110) | |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2026-02-05 |