| NPI | 1053847988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 13239) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NE 1-20-43591) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2025-04-10 |