NPI | 1487199485 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH7035) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL MH7035) |
Enumeration Date | 2016-12-29 |
Last Update Date | 2025-08-06 |