| NPI | 1710357009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 247200000X Technician, Other | |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2020-12-10 |