| NPI | 1093325094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2024-11-21 |