NPI | 1790244135 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 11912) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APCC6920) |
106S00000X Behavior Technician | |
Enumeration Date | 2019-03-15 |
Last Update Date | 2022-08-09 |