| NPI | 1144792920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 106400) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 106400) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2024-05-03 |