| NPI | 1821317488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 9839) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2021-09-03 |