| NPI | 1750817292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL SW13353) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 1041C0700X Social Worker Clinical (Licence: FL SW 13353) | |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2024-04-22 |