NPI | 1871240598 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-HLCORZ) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA Y6324141) |
Enumeration Date | 2022-03-02 |
Last Update Date | 2025-08-25 |