| NPI | 1972088458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CO RBT-18-66744) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2022-03-21 |