| NPI | 1265056261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 251B00000X Case Management | |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2025-06-02 |