| NPI | 1063015824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 137042) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 172V00000X Community Health Worker | |
| 225400000X Rehabilitation Practitioner | |
| 171M00000X Case Manager/Care Coordinator | |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2026-02-24 |