| NPI | 1043702178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 112970) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 112970) |
| 103K00000X Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2024-06-19 |