| NPI | 1528254224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 10381) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-20-44129) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2021-08-26 |