| NPI | 1093325094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2026-02-09 |