| NPI | 1396593760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 171W00000X Contractor |
| 172V00000X Community Health Worker | |
| 222Q00000X Developmental Therapist | |
| 373H00000X Day Training/Habilitation Specialist | |
| 101Y00000X Counselor | |
| 104100000X Social Worker | |
| 106S00000X Behavior Technician | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2024-05-09 |
| Last Update Date | 2024-09-09 |