| NPI | 1225773997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106S00000X Behavior Technician (Licence: CA RBT-22-213233) | |
| Enumeration Date | 2022-04-28 |
| Last Update Date | 2023-09-27 |