| NPI | 1942792924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: HI BA-687) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-21-52997) |
| 101YM0800X Counselor, Mental Health (Licence: HI MHC-1112) | |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2025-10-11 |