| NPI | 1881131746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH19844) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2024-08-12 |