| NPI | 1548713274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-25-82113) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH24482) |
| 101YM0800X Counselor, Mental Health (Licence: FL MH26557) | |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2025-09-30 |