| NPI | 1780562983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 222Q00000X Developmental Therapist | |
| 225XM0800X Occupational Therapist, Mental Health | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2025-08-25 |
| Last Update Date | 2025-08-25 |