| NPI | 1669713004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH24229) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2024-10-09 |