| NPI | 1609536051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 13602) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA R1454011221) |
| Enumeration Date | 2021-12-27 |
| Last Update Date | 2023-08-15 |