| NPI | 1376261107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YS0200X Counselor, School (Licence: CA 250200160) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2025-08-29 |