NPI | 1174081897 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 15850) |
Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
101YM0800X Counselor, Mental Health | |
106S00000X Behavior Technician | |
Enumeration Date | 2019-03-12 |
Last Update Date | 2025-09-29 |