| NPI | 1942038625 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 246QC2700X Spec/Tech, Pathology, Cytotechnology | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 101YP2500X Counselor, Professional | |
| 103K00000X Behavior Analyst | |
| 124Q00000X Dental Hygienist | |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2024-07-24 | 
| Last Update Date | 2024-07-24 |