NPI | 1720791049 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician |
Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
Enumeration Date | 2023-01-02 |
Last Update Date | 2023-01-02 |