NPI | 1598311532 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 010710) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P12722) |
106S00000X Behavior Technician | |
Enumeration Date | 2019-08-15 |
Last Update Date | 2020-10-19 |