| NPI | 1033954045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: VA 0732002204) |
| 101YM0800X Counselor Mental Health (Licence: VA 0733000690) | |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2024-09-30 |