| NPI | 1194065433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 1041C0700X Social Worker, Clinical (Licence: CA 92477) | |
| 101YM0800X Counselor, Mental Health (Licence: CA 92477) | |
| Enumeration Date | 2013-02-24 |
| Last Update Date | 2021-11-10 |