| NPI | 1801197702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701014826) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 1-10-7335) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2026-03-20 |