| NPI | 1740765239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH27514) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: FL CBHCM.0103196) |
| 103K00000X Behavior Analyst (Licence: FL MH27514) | |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2026-04-09 |