| NPI | 1760519839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 12891) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-17-43293) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2023-06-19 |