| NPI | 1639664808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 112809) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 112809) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2024-09-30 |