| NPI | 1306185616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: HI MHC660) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: HI BA5) |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2026-04-22 |