| NPI | 1972636454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS 24739) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA LCS24739) |
| 103K00000X Behavior Analyst (Licence: CA LCS24739) | |
| 1041S0200X Social Worker, School (Licence: CA LCS24739) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2022-07-21 |