| NPI | 1649717323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA ASW119115) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101YM0800X Counselor, Mental Health | |
| 106S00000X Behavior Technician | |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2023-12-06 |