| NPI | 1750924320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ASW109137) |
| Additional Taxonomies | 104100000X Social Worker |
| 104100000X Social Worker (Licence: CA 109137) | |
| 1041C0700X Social Worker, Clinical | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2024-05-21 |