| NPI | 1538657077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ACSW105242) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ACSW105242) |
| 104100000X Social Worker (Licence: CA ACSW105242) | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2023-08-17 |