| NPI | 1588274377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 101YM0800X Counselor Mental Health (Licence: GA APC09316) | |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2024-03-14 |