| NPI | 1548531916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA LMHC13213) |
| 103K00000X Behavior Analyst (Licence: MA LABA1305) | |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2026-04-27 |