NPI | 1639717960 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 105586) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-12-17 |
Last Update Date | 2023-05-09 |