| NPI | 1932841533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH27658) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-22-211568) |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2025-11-25 |