| NPI | 1326881533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH23865) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL BACB743599) |
| Enumeration Date | 2024-06-15 |
| Last Update Date | 2024-10-29 |