| NPI | 1538580378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 118560) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH-19260) |
| 106E00000X Assistant Behavior Analyst | |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2022-08-22 |