| NPI | 1952632556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11262) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH7894) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2022-10-31 |