| NPI | 1700212016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 77950) |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist (Licence: CA 77950) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2025-05-07 |