| NPI | 1225671092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 119630) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-19-103001) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2024-01-09 |