| NPI | 1588258560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH18878) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL MH18878) |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2023-04-17 |