| NPI | 1235652041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AZ RBT-15-02459) |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2020-09-09 |