NPI | 1306377270 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 122701) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 00002245) |
Enumeration Date | 2017-03-23 |
Last Update Date | 2024-07-23 |