NPI | 1104390889 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LCSW121114) |
Additional Taxonomies | 104100000X Social Worker |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2019-01-16 |
Last Update Date | 2024-04-23 |