| NPI | 1649905829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT4770) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: FL CBHCMS.0100649) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: FL MCAP100355) | |
| 106S00000X Behavior Technician (Licence: FL CMHP.0100014) | |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2023-11-11 |