| NPI | 1346743630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH18751) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 18751) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2023-08-02 |