| NPI | 1669954947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA ASW102362) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW102362) |
| 103K00000X Behavior Analyst (Licence: CA F7114110) | |
| Enumeration Date | 2018-09-03 |
| Last Update Date | 2023-07-10 |