NPI | 1003429044 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 12626) |
Additional Taxonomies | 101Y00000X Counselor |
106S00000X Behavior Technician | |
Enumeration Date | 2020-08-28 |
Last Update Date | 2022-11-10 |