| NPI | 1053801043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0020184) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: CO 24399748) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2024-01-25 |