NPI | 1689163784 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: R-16872) |
Additional Taxonomies | 106S00000X Behavior Technician |
171M00000X Case Manager/Care Coordinator | |
101YM0800X Counselor, Mental Health | |
101Y00000X Counselor | |
Enumeration Date | 2018-05-03 |
Last Update Date | 2024-03-28 |