| NPI | 1942600978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH19726) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-20-42367) |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2026-03-19 |