| NPI | 1043773062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 106S00000X Behavior Technician (Licence: HI RBT-19-84731) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2023-05-13 |