| NPI | 1982563128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL MH27174) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH27174) |
| Enumeration Date | 2026-01-21 |
| Last Update Date | 2026-04-27 |