NPI | 1245705920 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R222) |
Additional Taxonomies | 101Y00000X Counselor |
106S00000X Behavior Technician | |
Enumeration Date | 2018-10-09 |
Last Update Date | 2022-12-13 |