| NPI | 1801398615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: FL IMH22264) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103TC0700X Psychologist, Clinical (Licence: FL PY13051) | |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2025-11-24 |