| NPI | 1811489578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA APCC19557) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2025-07-23 |