| NPI | 1346742368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0017370) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0015731) |
| 106S00000X Behavior Technician (Licence: CO RBT-15-07790) | |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2025-01-23 |