| NPI | 1083101752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA LPCC13138) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YM0800X Counselor Mental Health (Licence: CA 8671) | |
| 101YM0800X Counselor Mental Health (Licence: CA LPCC13138) | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2023-04-07 |