| NPI | 1548528318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OK 6784) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OK T082183107) |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2025-08-06 |