NPI | 1922872332 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-SFTQCB) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2023-11-07 |
Last Update Date | 2025-08-11 |