| 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 |