| NPI | 1144538802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW66433) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 104100000X Social Worker (Licence: CA 30561) | |
| 101YM0800X Counselor, Mental Health (Licence: CA 30561) | |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2015-08-24 |