| NPI | 1114464047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 174400000X Specialist | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2026-07-01 |