| NPI | 1871356956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YP1600X Counselor Pastoral |
| 106H00000X Marriage & Family Therapist (Licence: MS KD20220129) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2024-02-01 |
| Last Update Date | 2024-02-02 |