| NPI | 1376026997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: FL MH16928) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH16928) |
| 101YP2500X Counselor, Professional (Licence: FL MH16928) | |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2023-01-17 |