NPI | 1366041311 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH19553) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103K00000X Behavior Analyst | |
171M00000X Case Manager/Care Coordinator (Licence: FL CBHCMS100988) | |
Enumeration Date | 2020-10-21 |
Last Update Date | 2024-02-09 |