NPI | 1134832694 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: MD 32632) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0903003146) |
Enumeration Date | 2022-12-29 |
Last Update Date | 2025-01-08 |