NPI | 1578175220 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0020060) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2020-08-22 |
Last Update Date | 2023-07-14 |