| NPI | 1548883408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA APCC18169) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2024-12-26 |