| NPI | 1356909535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 119324) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 16492) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2023-12-04 |