| NPI | 1659874147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 17-30336) |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2022-09-02 |