| NPI | 1336893338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 109509) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: CA 109509) | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2023-06-01 |