| NPI | 1912691841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: AR A2309016) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2023-12-01 |