| NPI | 1679060396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA 10875) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2023-10-26 |