NPI | 1386201002 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: OR A230862) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2019-05-29 |
Last Update Date | 2023-02-13 |