| NPI | 1518499094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 232799679) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2019-05-13 |