| NPI | 1881178507 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst | 
| Additional Taxonomies | 101Y00000X Counselor | 
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2018-09-19 | 
| Last Update Date | 2023-07-07 |