| NPI | 1548713274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH24482) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-19-10298) |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2023-09-01 |