| NPI | 1417418427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WI BACB1075392) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 8636-125) |
| 101YP2500X Counselor, Professional (Licence: WI 8636-125) | |
| 101Y00000X Counselor (Licence: WI 8636-125) | |
| 221700000X Art Therapist (Licence: WI 24-264) | |
| Enumeration Date | 2019-03-31 |
| Last Update Date | 2025-10-22 |