NPI | 1275287377 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401224285) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2022-02-08 |
Last Update Date | 2024-07-16 |