| NPI | 1619394111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11599) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW11599) |
| 103K00000X Behavior Analyst (Licence: FL SW11599) | |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2023-12-20 |