NPI | 1053802769 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
171M00000X Case Manager/Care Coordinator | |
175T00000X Peer Specialist | |
Enumeration Date | 2018-05-29 |
Last Update Date | 2023-10-17 |