| NPI | 1558945238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW128027) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 105585) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2025-01-13 |