| NPI | 1134504897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ASW133161) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA ASW133161) |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW133161) | |
| 171M00000X Case Manager/Care Coordinator (Licence: CA ASW133161) | |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2026-06-25 |