| NPI | 1235853722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA APCC19969) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-09-28 |
| Last Update Date | 2025-09-11 |