| NPI | 1497495923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2026-03-17 |