| NPI | 1972806461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH10238) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL MH10238) |
| 253J00000X Foster Care Agency (Licence: FL MH10238) | |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2024-07-01 |