| NPI | 1578915864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL LMHC 14172) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-18-34314) |
| 171M00000X Case Manager/Care Coordinator (Licence: FL CBHCMS.0101097) | |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2025-09-12 |