| NPI | 1851197800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA APC001658) |
| Enumeration Date | 2025-02-20 |
| Last Update Date | 2025-11-25 |