| NPI | 1407235450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 04785) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: KS 481284001) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2025-05-21 |