| NPI | 1558716332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH23516) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 106S00000X Behavior Technician (Licence: FL RBT-16-13915) | |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2024-04-06 |