| NPI | 1154865038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH24067) |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2024-08-02 |