| NPI | 1871157719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA APCC16935) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APCC16935) |
| 106S00000X Behavior Technician | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2024-08-11 |