| NPI | 1669878112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH18571) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 104100000X Social Worker | |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2022-12-02 |