| NPI | 1083272165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 114290) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 114290) |
| 101YM0800X Counselor Mental Health (Licence: CA 114290) | |
| 1041C0700X Social Worker Clinical (Licence: CA 114290) | |
| 171M00000X Case Manager/Care Coordinator | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA STUDENT) | |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2023-06-23 |