| NPI | 1710440292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 118825) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 106S00000X Behavior Technician | |
| 101YM0800X Counselor, Mental Health (Licence: CA 118825) | |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2026-04-29 |