| NPI | 1255663076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA APC001708) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2026-03-12 |