| NPI | 1790288215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA AMFT132229) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 106S00000X Behavior Technician (Licence: CA f4399196) | |
| Enumeration Date | 2018-03-11 |
| Last Update Date | 2025-09-10 |