NPI | 1093373029 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW111556) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 90080) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2019-06-04 |
Last Update Date | 2022-11-10 |