| NPI | 1881470953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA 00000000000000000000) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2023-10-17 |