| NPI | 1861004103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 109101) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical (Licence: CA 109101) | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2024-09-12 |