| NPI | 1982200499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LPC-19154) |
| 101YP2500X Counselor, Professional (Licence: AZ LPC-19154) | |
| 101YS0200X Counselor, School (Licence: AZ LPC-19154) | |
| 103K00000X Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 171M00000X Case Manager/Care Coordinator | |
| 221700000X Art Therapist | |
| 225400000X Rehabilitation Practitioner | |
| 225800000X Recreation Therapist | |
| 246YR1600X Spec/Tech, Health Info, Registered Record Administrator | |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2021-08-24 |