NPI | 1649620386 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO NLC.0104360) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC10116) |
101YM0800X Counselor, Mental Health (Licence: MT BBH-LCPC-LIC-30835) | |
106S00000X Behavior Technician (Licence: WY RBT-19-93615) | |
Enumeration Date | 2016-06-14 |
Last Update Date | 2020-07-24 |