| NPI | 1508539487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OR R9829) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2024-09-17 |