| NPI | 1720588544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39005734A) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IN 1-18-29501) |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2025-11-05 |