| NPI | 1093596900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC 1-21-499901) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC 458532) |
| 374U00000X Home Health Aide | |
| 106S00000X Behavior Technician (Licence: NC BCAB458532) | |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2026-04-13 |