| NPI | 1932617107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171M00000X Case Manager/Care Coordinator | |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2022-02-22 |