NPI | 1639616709 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0015797) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2017-01-26 |
Last Update Date | 2019-10-16 |