| NPI | 1306077730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH8376) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL MH8376) |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2023-06-07 |