| NPI | 1699657460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: NY 1478977211) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2025-07-23 |
| Last Update Date | 2026-03-27 |