| NPI | 1922654722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN 25-482997) |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2025-11-12 |