| NPI | 1932882271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2025-03-07 |