| NPI | 1255890976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YS0200X Counselor, School (Licence: NY 2037875) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: NJ 741519) |
| 101YS0200X Counselor, School (Licence: FL 1147724) | |
| 106S00000X Behavior Technician | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2021-01-11 |