| NPI | 1902575087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ASW125269) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2024-08-19 |