| NPI | 1255811030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 247200000X Technician, Other | |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2023-01-30 |