| NPI | 1922460450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL mh11925) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL mh11925) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2020-10-17 |