NPI | 1700494366 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 9048) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 9048) |
106S00000X Behavior Technician | |
Enumeration Date | 2020-07-20 |
Last Update Date | 2023-03-29 |