| NPI | 1760934368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA ASW72754) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA ASW72754) |
| 106E00000X Assistant Behavior Analyst (Licence: CA ASW72754) | |
| Enumeration Date | 2016-10-29 |
| Last Update Date | 2016-10-29 |