| NPI | 1194333112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 114522) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 114522) |
| 106E00000X Assistant Behavior Analyst | |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2023-08-10 |