| NPI | 1336560325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR A1704198) |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2024-07-19 |