| NPI | 1245968601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MI RBT-21-179854) |
| Enumeration Date | 2022-08-12 |
| Last Update Date | 2023-12-20 |