| NPI | 1164388195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VT 146.0134478) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 097.0135038) |
| Enumeration Date | 2026-01-03 |
| Last Update Date | 2026-01-03 |