| NPI | 1831846674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2024-05-04 |