| NPI | 1265513865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 1041C0700X Social Worker, Clinical (Licence: FL SW 7422) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2024-02-08 |