| NPI | 1386188498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH26894) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-52135) |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2025-06-24 |