NPI | 1619473568 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 110381) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2018-03-31 |
Last Update Date | 2019-05-09 |