| NPI | 1386169233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH19071) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH18249) |
| 106S00000X Behavior Technician (Licence: FL RBT-18-50916) | |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2022-07-21 |