| NPI | 1780344937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH00484) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC007907) |
| Enumeration Date | 2021-12-28 |
| Last Update Date | 2025-07-07 |