| NPI | 1588943294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2024-01-23 |