| NPI | 1750874731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 1041S0200X Social Worker, School | |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 171M00000X Case Manager/Care Coordinator | |
| 251B00000X Case Management | |
| 374K00000X Religious Nonmedical Practitioner | |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2018-06-13 |