NPI | 1063929693 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA ASW84476) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2018-01-04 |
Last Update Date | 2018-11-30 |