| NPI | 1760983431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 120748) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YM0800X Counselor Mental Health | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2024-01-31 |