| NPI | 1376026997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-26-88675) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH16928) |
| 101YP2500X Counselor, Professional (Licence: FL MH16928) | |
| 101YM0800X Counselor, Mental Health (Licence: FL MH16928) | |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2026-04-02 |