| NPI | 1316331309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH 13714) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL MH13714) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2023-05-17 |