NPI | 1841739067 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0017959) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: CO 24414883) |
106S00000X Behavior Technician (Licence: OH 47-24-23-666) | |
Enumeration Date | 2017-02-21 |
Last Update Date | 2025-08-11 |