| NPI | 1700352606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 114621) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-18-67856) |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2023-05-04 |