| NPI | 1699300285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LGP14674) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC LGPC200001593) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2024-01-22 |