| NPI | 1679143713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH25061) |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2024-06-22 |