| NPI | 1467050930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 14199) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2024-12-04 |