| NPI | 1992231484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: FL 106S00000X) | |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2025-09-23 |