| NPI | 1184408171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL ALC05667) |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2026-06-02 |