| NPI | 1740643527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW87810) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-15-21320) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2022-10-14 |