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 |