| NPI | 1508335431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC10718) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 101YP2500X Counselor, Professional (Licence: CA APC6323) | |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2022-02-02 |