| 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 |