| NPI | 1356977565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-137735) |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2020-10-13 |