| NPI | 1003620022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2025-02-03 |
| Last Update Date | 2025-10-17 |