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 |