| NPI | 1114570363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID 9361579) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2025-11-22 |