| NPI | 1124665831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA ASW113490) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 106S00000X Behavior Technician | |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW113490) | |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2023-07-03 |