| NPI | 1508580739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-2311) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AZ BEH-000067) |
| Enumeration Date | 2022-09-30 |
| Last Update Date | 2026-06-15 |