| NPI | 1386156511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A14549) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-10-27 |
| Last Update Date | 2023-12-08 |