| NPI | 1467093641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA APCC19099) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT154268) |
| 106S00000X Behavior Technician | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2025-04-08 |