| NPI | 1730313859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW7519) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL SW7519) |
| 103K00000X Behavior Analyst (Licence: FL SW7519) | |
| 1041C0700X Social Worker, Clinical (Licence: FL SW7519) | |
| 252Y00000X Early Intervention Provider Agency (Licence: FL SW7519) | |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2024-09-24 |