NPI | 1083182976 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ASW98454) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW98454) |
106S00000X Behavior Technician | |
Enumeration Date | 2018-11-08 |
Last Update Date | 2023-08-28 |