| NPI | 1881152379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 120597) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-19-80252) |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2025-04-19 |