| NPI | 1366987414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2022-01-20 |