| NPI | 1447475504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL MH21700) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH21700) |
| 104100000X Social Worker | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2023-05-16 |