| NPI | 1417597535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA ASW105642) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW105642) |
| 103K00000X Behavior Analyst | |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2023-06-19 |