| NPI | 1720557853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 99958) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 1041C0700X Social Worker, Clinical (Licence: CA 84732) | |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2021-06-04 |