| NPI | 1437390820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH12789) |
| Additional Taxonomies | 101Y00000X Counselor |
| 103K00000X Behavior Analyst | |
| 101YP2500X Counselor Professional | |
| 222Q00000X Developmental Therapist (Licence: FL MH12789) | |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2016-11-29 |