| NPI | 1164234316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD W14935308) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD W14935308) |
| 171W00000X Contractor | |
| 251S00000X Community/Behavioral Health (Licence: MD W14935308) | |
| 251B00000X Case Management (Licence: MD W14935308) | |
| Enumeration Date | 2025-01-24 |
| Last Update Date | 2026-02-20 |