NPI | 1447908934 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH27272) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-103572) |
Enumeration Date | 2022-03-14 |
Last Update Date | 2025-06-01 |