| NPI | 1013969641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW106716) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WA 1-10-7219) |
| 1041C0700X Social Worker, Clinical (Licence: AK 628) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2022-11-17 |