NPI | 1295283489 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2203978) |
Additional Taxonomies | 106S00000X Behavior Technician |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-09-15 |
Last Update Date | 2022-06-02 |