| NPI | 1306328448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 24-QMHP-R-2754) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OR ABA-B-10225021) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2024-11-08 |