| NPI | 1831717297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 133470) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2025-11-06 |