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 |