| NPI | 1619929270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH8148) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-02-14 |