| NPI | 1831796937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA MSW012161) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-20-130074) |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2024-11-05 |