| NPI | 1891048468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171M00000X Case Manager/Care Coordinator | |
| 103K00000X Behavior Analyst | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 225400000X Rehabilitation Practitioner | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2026-01-09 |