| NPI | 1366972226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL MH15912) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 15912) |
| 103K00000X Behavior Analyst (Licence: FL MH15912) | |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2020-07-09 |