| NPI | 1942836325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 17689) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 171M00000X Case Manager/Care Coordinator (Licence: CA BHS-MH) | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2025-12-29 |