| NPI | 1588477293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 10267) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2025-01-28 |
| Last Update Date | 2026-06-16 |