| NPI | 1194392415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-98444) |
| Enumeration Date | 2021-06-06 |
| Last Update Date | 2026-03-20 |