| NPI | 1356652143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH10087) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MH10087) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2019-07-12 |