| NPI | 1396366076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 103260) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 103260) |
| 106S00000X Behavior Technician | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2023-08-29 |