NPI | 1831896463 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2023-02-14 |
Last Update Date | 2023-04-01 |