| NPI | 1558915355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 9334) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106S00000X Behavior Technician | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2025-06-17 |