| NPI | 1619568243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R8642) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2024-03-29 |