| NPI | 1528524162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 111026) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2022-11-03 |