NPI | 1134891757 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 223759) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2021-10-01 |
Last Update Date | 2021-11-11 |