| NPI | 1376206045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA ASW137803) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 171M00000X Case Manager/Care Coordinator | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2026-06-12 |