| NPI | 1649695347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 101YM0800X Counselor, Mental Health | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2026-03-23 |