NPI | 1942685342 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW121453) |
Additional Taxonomies | 106S00000X Behavior Technician |
101YS0200X Counselor, School | |
Enumeration Date | 2015-07-27 |
Last Update Date | 2024-04-25 |