NPI | 1679109292 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 112091) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2020-03-15 |
Last Update Date | 2023-05-23 |