| NPI | 1285200709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-21-170215) |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2025-06-19 |