NPI | 1073015020 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: CA 104029) |
Additional Taxonomies | 106S00000X Behavior Technician |
171M00000X Case Manager/Care Coordinator | |
1041C0700X Social Worker Clinical (Licence: CA 104029) | |
Enumeration Date | 2018-03-06 |
Last Update Date | 2023-06-27 |