| NPI | 1487100145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1355400719) | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2025-08-21 |