| NPI | 1023625449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 22361) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2026-04-30 |