| NPI | 1720392285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: NC 9647) | |
| 101YP2500X Counselor, Professional (Licence: NC 9647) | |
| 101YP2500X Counselor, Professional (Licence: NC 15940) | |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2022-08-19 |