| NPI | 1871368761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 1155122119) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX BCAB980104) |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2023-11-28 |