| NPI | 1538660691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 16-13938) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2020-01-28 |