| NPI | 1558098749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2022-08-07 |
| Last Update Date | 2022-08-07 |