| NPI | 1942842562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC13775) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APCC7634) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2023-05-01 |