| NPI | 1528560166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 112203) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker (Licence: CA 112203) | |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2026-08-10 |