| NPI | 1376153304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 109843) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 109843) |
| 1041C0700X Social Worker, Clinical | |
| 106S00000X Behavior Technician (Licence: CA 10701) | |
| 171M00000X Case Manager/Care Coordinator | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2023-08-11 |