| NPI | 1740955715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH28002) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-21-173599) |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2026-08-04 |