| NPI | 1457977340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0023000) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2025-01-14 |