| NPI | 1407405137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker (Licence: CA 109966) | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2023-08-15 |