| NPI | 1821409475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 101Y00000X Counselor | |
| 222Q00000X Developmental Therapist | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2026-08-09 |