| NPI | 1437827003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OR 26-QMHA-R-9145) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 26-QMHA-R-9145) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2026-08-31 |