| NPI | 1841916418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL 22-239324) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH22562) |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2024-05-21 |