| NPI | 1811476427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: TX 17-37585) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2019-06-24 |