| NPI | 1831634484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH15978) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-20-42767) |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2020-11-05 |