| NPI | 1518458173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-18-54926) |
| Enumeration Date | 2018-05-19 |
| Last Update Date | 2021-09-30 |