| NPI | 1598268088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 137420) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 18-47105) |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2023-06-12 |