| NPI | 1205398310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA 00000000000000000000) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 23754) |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2024-05-29 |