| NPI | 1578017273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 14390) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-17-26551) |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2026-01-29 |