| NPI | 1619852266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: NC RBT-25-482701) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A22427) |
| Enumeration Date | 2025-08-11 |
| Last Update Date | 2026-04-08 |