| NPI | 1770463440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 20823) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2025-09-04 |
| Last Update Date | 2025-10-15 |