| NPI | 1740944990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-25-81570) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW19095) |
| 101Y00000X Counselor | |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2025-09-27 |