NPI | 1942705116 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA APCC19963) |
Additional Taxonomies | 101Y00000X Counselor |
106S00000X Behavior Technician | |
171M00000X Case Manager/Care Coordinator | |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2018-03-28 |
Last Update Date | 2025-08-02 |