| NPI | 1639725492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 5208) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2025-11-25 |