| NPI | 1427577675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH16682) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL MH16682) |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2025-05-07 |