| NPI | 1962851188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH23260) |
| 103K00000X Behavior Analyst (Licence: FL MH23260) | |
| 104100000X Social Worker | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2024-09-26 |