NPI | 1669961447 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 18758) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 155572) |
106S00000X Behavior Technician | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2018-05-07 |
Last Update Date | 2025-06-10 |