NPI | 1477032696 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 4854) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2018-08-08 |
Last Update Date | 2021-03-10 |