| NPI | 1649759697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-18-73852) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW20420) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW20420) | |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2022-11-10 |