| NPI | 1942724869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH15236) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2024-09-11 |