| NPI | 1427524248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA ASW97569) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 106S00000X Behavior Technician (Licence: CA RBT-18-68207) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2023-05-30 |