| NPI | 1538626759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA ACSW120136) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2019-02-24 |
| Last Update Date | 2025-06-30 |