| NPI | 1891167987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW13231) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW13231) |
| 103K00000X Behavior Analyst (Licence: FL SW13231) | |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2024-01-04 |