| NPI | 1376063297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH27819) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2026-08-28 |