| NPI | 1730879941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-TFRDES) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2023-05-10 |
| Last Update Date | 2024-08-01 |