| NPI | 1982140091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD 1-16-23954) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA 1-16-23954) |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2025-08-13 |