NPI | 1922564020 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SD LPC20753) |
Additional Taxonomies | 101Y00000X Counselor |
106S00000X Behavior Technician | |
Enumeration Date | 2019-02-13 |
Last Update Date | 2023-12-01 |