| NPI | 1609401652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A17325) |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2023-12-06 |