| NPI | 1720748536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 120947) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 120947) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2024-11-21 |