| NPI | 1336683853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: FL CBHCMS.0102578) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH25584) |
| 106E00000X Assistant Behavior Analyst (Licence: FL 0188547) | |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2026-03-21 |