| NPI | 1710600416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101200000X Drama Therapist |
| 103K00000X Behavior Analyst | |
| 103TA0700X Psychologist, Adult Development & Aging | |
| 172A00000X Driver | |
| 372500000X Chore Provider | |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2022-09-19 |