| NPI | 1386958494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY P140365) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 000580) |
| 174400000X Specialist | |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2025-12-31 |