NPI | 1144762550 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LPC.0017422) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2016-11-16 |
Last Update Date | 2023-12-27 |