NPI | 1871096255 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH23976) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH22287) |
106S00000X Behavior Technician (Licence: FL RBT-18-49743) | |
Enumeration Date | 2018-03-13 |
Last Update Date | 2024-08-28 |