| NPI | 1972079366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-JKNHGQ) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2025-06-04 |