| NPI | 1699221671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 14157) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL mh 14157) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2024-02-29 |