| NPI | 1225513559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 14516) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: CA 8569) | |
| 101YP2500X Counselor, Professional (Licence: CA 8569) | |
| 106S00000X Behavior Technician (Licence: CA RBT-18-66874) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2023-08-22 |