| NPI | 1952870941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW139107) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW102998) |
| 106S00000X Behavior Technician (Licence: CA RBT-18-69175) | |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2026-06-23 |