| NPI | 1164907184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ASW127767) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-18-66003) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2025-05-20 |