| NPI | 1710310230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 93035) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 104100000X Social Worker (Licence: CA ASW72528) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2022-12-20 |