| NPI | 1356171607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 17755) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2024-08-02 |
| Last Update Date | 2024-12-26 |