| NPI | 1750810941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 103061) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2021-08-17 |