NPI | 1245725290 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101Y00000X Counselor |
101YP2500X Counselor, Professional | |
103K00000X Behavior Analyst | |
171M00000X Case Manager/Care Coordinator | |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2018-06-22 |
Last Update Date | 2024-04-29 |