| NPI | 1790263994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: HI RBT-18-61771) |
| 247200000X Technician, Other | |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2022-06-06 |