| NPI | 1275003642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 17261) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2024-09-24 |