| NPI | 1659872836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 117917) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 106S00000X Behavior Technician (Licence: CA 3864) | |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2023-09-19 |