| NPI | 1023620200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA APCC17041) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2026-02-13 |