| NPI | 1437799327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH28083) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 101YM0800X Counselor, Mental Health (Licence: FL IMH25065) | |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2026-07-22 |