| NPI | 1376709972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-03-1226) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH9490) |
| Enumeration Date | 2008-08-03 |
| Last Update Date | 2026-07-15 |