NPI | 1124436092 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW86905) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW67358) |
171M00000X Case Manager/Care Coordinator | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-07-23 |
Last Update Date | 2019-03-05 |