| NPI | 1871102749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 135030) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CA MHRS) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2025-11-06 |