| NPI | 1477042323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA ASW116051) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW116051) | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2024-08-06 |