| NPI | 1851845515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 136524) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 104899) |
| 106S00000X Behavior Technician | |
| 101YM0800X Counselor, Mental Health | |
| 171M00000X Case Manager/Care Coordinator | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2026-09-24 |