| NPI | 1659317782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103TC0700X Psychologist, Clinical (Licence: FL PY 6595) | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2024-05-02 |