| NPI | 1427698588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA F1624636) |
| 172V00000X Community Health Worker | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2025-04-08 |