| NPI | 1619510104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MH19105) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL MH19105) |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2025-03-25 |