| NPI | 1427588300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 134539) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2026-02-02 |