| NPI | 1669091872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH18511) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2021-07-30 |