NPI | 1619542354 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 123371) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA Y8648844) |
Enumeration Date | 2021-05-25 |
Last Update Date | 2024-07-09 |