NPI | 1548885627 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 20-119611) |
Enumeration Date | 2020-06-14 |
Last Update Date | 2022-07-05 |