| NPI | 1235880832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: A18887) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC A18887) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2022-01-14 |
| Last Update Date | 2025-07-27 |