| NPI | 1326679457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH23102) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH23102) |
| 103K00000X Behavior Analyst | |
| 106S00000X Behavior Technician (Licence: FL RBT) | |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2024-01-19 |