| NPI | 1790220911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 1041C0700X Social Worker, Clinical (Licence: FL SW14143) | |
| Enumeration Date | 2016-12-24 |
| Last Update Date | 2025-04-17 |