| NPI | 1285285205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 9181) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2025-03-26 |