| NPI | 1477204451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA APCC16504) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2024-06-24 |