| NPI | 1629729637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0020692) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CO 1-24-74953) |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2026-04-29 |