NPI | 1104419415 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 15078) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2021-02-17 |
Last Update Date | 2024-03-20 |