| NPI | 1780108621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL BCBA1-20-42324) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH26793) |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2026-07-01 |