| NPI | 1275195695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103TM1800X Psychologist Mental Retardation & Developmental Disabilities |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2019-07-11 |