| NPI | 1003322249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: HI MHC-1045) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: HI RBT-16-21980) |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2024-07-10 |