| NPI | 1285141002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OR ABA-IN-10183850) |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2024-11-15 |