NPI | 1609402486 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 109253) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
390200000X Student in an Organized Health Care Education/Training Program | |
106S00000X Behavior Technician | |
Enumeration Date | 2020-03-12 |
Last Update Date | 2024-03-04 |