| NPI | 1295232221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 124179) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-18-48555) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2024-08-20 |