NPI | 1891465340 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 113850) |
Additional Taxonomies | 106S00000X Behavior Technician |
101YM0800X Counselor, Mental Health (Licence: CA 113850) | |
Enumeration Date | 2021-09-16 |
Last Update Date | 2023-08-29 |