| NPI | 1942421342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-54264) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: FL SS679) |
| 103T00000X Psychologist (Licence: FL SS679) | |
| 101YM0800X Counselor, Mental Health (Licence: FL MH7915) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2025-12-28 |