| NPI | 1518545466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA APC010848) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2026-04-03 |