| NPI | 1487222907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 17437) |
| Enumeration Date | 2021-06-11 |
| Last Update Date | 2025-04-29 |