| NPI | 1225908650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH007619) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA BH007619) |
| Enumeration Date | 2025-11-10 |
| Last Update Date | 2026-01-16 |