| NPI | 1689434441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-JIMBSU) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2026-07-20 |