| NPI | 1851803423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA ASW109211) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 109211) |
| 106S00000X Behavior Technician | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2023-06-12 |