| NPI | 1730913039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CA 00022729) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 118497) |
| Enumeration Date | 2024-08-28 |
| Last Update Date | 2025-07-24 |