NPI | 1942724562 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 131608) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
106S00000X Behavior Technician (Licence: CA RBT-18-69573) | |
Enumeration Date | 2017-07-26 |
Last Update Date | 2022-03-15 |