NPI | 1649723578 |
---|---|
Professional Name | N/A N/A N/A |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14228) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL MH14228) |
Enumeration Date | 2016-07-27 |
Last Update Date | 2025-06-18 |