| NPI | 1326430521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH27866) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2026-06-05 |