| NPI | 1043778517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 117649) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106S00000X Behavior Technician | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2023-08-24 |