| NPI | 1811436942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14850) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2025-08-08 |