| NPI | 1336888262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-22-218138) |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2024-10-03 |