| NPI | 1881189421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: FL 15681) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL 1830) |
| 101YM0800X Counselor, Mental Health (Licence: FL 1830) | |
| 101YP2500X Counselor, Professional (Licence: FL 1830) | |
| 103K00000X Behavior Analyst (Licence: FL 1830) | |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: FL 1830) | |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2022-04-05 |