| NPI | 1437651254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 17-45942) |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2026-09-17 |