| NPI | 1952004632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374700000X Technician |
| Additional Taxonomies | 101Y00000X Counselor |
| 106S00000X Behavior Technician | |
| 103K00000X Behavior Analyst | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2023-03-23 |
| Last Update Date | 2026-03-23 |