| NPI | 1770914079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: KY 161691) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2025-06-02 |