NPI | 1053801167 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101Y00000X Counselor |
106S00000X Behavior Technician | |
Enumeration Date | 2018-05-14 |
Last Update Date | 2021-04-27 |