| NPI | 1346772613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL NA) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2021-02-23 |