| NPI | 1790377646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 111326) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 111326) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2023-05-16 |