| NPI | 1033610118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101Y00000X Counselor |
| 106S00000X Behavior Technician (Licence: CA 17-40248) | |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2023-07-20 |