| NPI | 1619466117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MD LGP13632) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 156F00000X Technician/Technologist | |
| 156F00000X Technician/Technologist | |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2023-08-02 |