| NPI | 1891526117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-24-367520) |
| Enumeration Date | 2024-08-08 |
| Last Update Date | 2026-08-14 |