| NPI | 1407596182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A21447) |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2025-06-06 |