NPI | 1669955654 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC LPC8736PC) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2018-09-14 |
Last Update Date | 2023-02-28 |