| NPI | 1437439114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: FL MH10364) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH 10364) |
| 102L00000X Psychoanalyst (Licence: FL MH10364) | |
| 106E00000X Assistant Behavior Analyst (Licence: FL MH10364) | |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2020-10-16 |