| NPI | 1366938540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 104459) |
| Additional Taxonomies | 101Y00000X Counselor |
| 103K00000X Behavior Analyst | |
| 104100000X Social Worker (Licence: CA 104459) | |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2023-12-21 |