| NPI | 1396342937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 17881) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA Y3758975) |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2025-03-29 |