NPI | 1417434671 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6451022399) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2018-07-20 |
Last Update Date | 2022-07-19 |