| NPI | 1013601673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: professionallicense) |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2025-08-21 |