| NPI | 1427414457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: FL SS1197) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT20-132056) |
| 101YM0800X Counselor, Mental Health (Licence: FL 16998) | |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2023-01-25 |