NPI | 1396210142 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist (Licence: CA F8040385) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
106S00000X Behavior Technician (Licence: CA F8040385) | |
172V00000X Community Health Worker (Licence: CA F8040385) | |
Enumeration Date | 2018-10-09 |
Last Update Date | 2025-05-15 |