| NPI | 1316512247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 111472) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 101YM0800X Counselor, Mental Health (Licence: CA 111472) | |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2026-06-09 |