| 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 |