| NPI | 1710234406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH18688) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL MH18688) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2021-03-12 |