| NPI | 1689163784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: LA 18873) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106S00000X Behavior Technician (Licence: R-16872) | |
| 101Y00000X Counselor | |
| 171M00000X Case Manager/Care Coordinator | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2025-09-23 |