| NPI | 1700577988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401223046) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MI 7401003056) |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2025-10-02 |