| NPI | 1184194748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 134958) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2024-09-30 |