| NPI | 1073381240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: VA RBT-23-312959) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: VA 0734010418) |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2023-12-18 |