| NPI | 1144194937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 102L00000X Psychoanalyst | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2025-10-03 |
| Last Update Date | 2025-10-03 |