| NPI | 1730870221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CO RBT-23-273122) |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2025-05-13 |