| NPI | 1447865928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 247200000X Technician, Other (Licence: MI 2472000000) | |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2022-03-24 |