| NPI | 1861981284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH23122) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-23-63483) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2024-02-23 |