| NPI | 1093222705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH28346) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2026-07-24 |