| NPI | 1346444536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH9126) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701015016) |
| 103K00000X Behavior Analyst (Licence: FL MH9126) | |
| 103K00000X Behavior Analyst (Licence: VA 0701015016) | |
| 103TS0200X Psychologist, School (Licence: FL SS757) | |
| 103TS0200X Psychologist, School (Licence: VA 0803000315) | |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2025-07-29 |