| NPI | 1003281767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA E2057664) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA E2057664) |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2017-01-05 |