| NPI | 1841833670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH10678) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: FL MH10678) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2019-10-24 |