NPI | 1619127016 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH8698) |
101YP2500X Counselor, Professional | |
103K00000X Behavior Analyst | |
104100000X Social Worker | |
171M00000X Case Manager/Care Coordinator | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2008-09-23 |
Last Update Date | 2023-08-14 |