| NPI | 1427446947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 25034) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 25034) |
| 101YP2500X Counselor, Professional (Licence: CA 25034) | |
| 103K00000X Behavior Analyst (Licence: CA 25034) | |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2021-10-21 |