| NPI | 1114519618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 146824) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2024-06-28 |