| NPI | 1851951305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 106144) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 00002109) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 1041C0700X Social Worker, Clinical (Licence: CA 106144) | |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2023-06-15 |