| NPI | 1174018808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 110885) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2024-05-30 |