| NPI | 1003382144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA A1896003) |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2022-12-19 |