| NPI | 1780343483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: SC RBT-21-196023) |
| Enumeration Date | 2021-12-10 |
| Last Update Date | 2023-06-19 |