| NPI | 1902278658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 6052) |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2018-12-20 |