NPI | 1073096350 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 117694) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 79162) |
101YM0800X Counselor, Mental Health (Licence: CA 91622) | |
104100000X Social Worker (Licence: CA 91622) | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2018-09-12 |
Last Update Date | 2023-08-31 |