| NPI | 1184447161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ASW139416) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2024-11-06 |
| Last Update Date | 2026-06-17 |