| NPI | 1538695366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 138314) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 104100000X Social Worker (Licence: ASW124740) | |
| 1041C0700X Social Worker, Clinical (Licence: CA ACSW124740) | |
| 104100000X Social Worker (Licence: ID 43911) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2026-08-04 |