| NPI | 1184834061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 001441-01) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 000364) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2025-07-18 |