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 |