| NPI | 1871002766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 107549) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 107549) |
| 106S00000X Behavior Technician | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-09-24 |
| Last Update Date | 2023-08-31 |