| NPI | 1841739067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0017959) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH 47-24-23-666) |
| 101YS0200X Counselor, School (Licence: CO 24414883) | |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2025-03-19 |