| NPI | 1922649904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA APCC15220) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 101Y00000X Counselor (Licence: CA APCC15220) | |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2024-01-17 |