| NPI | 1932438157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12305) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 0-07-2382) |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2014-05-01 |