| NPI | 1952033847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: SC 8745) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2023-11-14 |