| NPI | 1609603588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 106S00000X Behavior Technician | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2026-04-27 |