| NPI | 1396175121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 101YM0800X Counselor, Mental Health | |
| 174H00000X Health Educator | |
| 103K00000X Behavior Analyst | |
| 101YP2500X Counselor, Professional | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2026-01-15 |