| NPI | 1184237364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 102781) |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2025-12-04 |