NPI | 1528641289 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 115735) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
106S00000X Behavior Technician | |
Enumeration Date | 2021-04-30 |
Last Update Date | 2024-10-25 |