| NPI | 1801264882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133001738) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 101Y00000X Counselor | |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2026-04-27 |