| NPI | 1396215042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 131749) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW90183) |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW90183) | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2025-07-15 |