| NPI | 1215450630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 106S00000X Behavior Technician | |
| 106S00000X Behavior Technician (Licence: AL RBT-17-35767) | |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2025-04-03 |