| NPI | 1821845157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA CHTL4650) |
| Additional Taxonomies | 101200000X (Licence: CA CCHL4650) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA CHTL4650) | |
| 101YP2500X Counselor Professional (Licence: CA CHTL4650) | |
| 103K00000X Behavior Analyst (Licence: CA CCHL4650) | |
| 106S00000X Behavior Technician (Licence: CA ACHL4650) | |
| 132700000X Dietary Manager (Licence: CA MHM4659) | |
| 405300000X Prevention Professional (Licence: CA CCHL4650) | |
| Enumeration Date | 2024-05-03 |
| Last Update Date | 2024-05-03 |