| NPI | 1033580147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 127911) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103K00000X Behavior Analyst | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 104279) | |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2025-01-07 |