| NPI | 1447487137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH 8304) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL MH8304) |
| 104100000X Social Worker (Licence: FL MH8304) | |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2023-05-09 |