NPI | 1720790868 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 172V00000X Community Health Worker |
106S00000X Behavior Technician | |
Enumeration Date | 2022-12-20 |
Last Update Date | 2025-09-03 |