| NPI | 1750053237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 123165-01) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-123018) |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2025-09-30 |