| NPI | 1013361856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-25-85542) |
| 101Y00000X Counselor (Licence: FL MH13177) | |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2026-02-16 |