| NPI | 1942845557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106S00000X Behavior Technician (Licence: FL 19-96702) | |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2023-11-01 |