| NPI | 1316683550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC P021577) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC P021577) |
| 1041C0700X Social Worker, Clinical (Licence: NC P021577) | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2024-12-03 |