| NPI | 1154829836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA APCC14393) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 1728996) |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2023-08-21 |