| NPI | 1205351491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 136142) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA acsw92799) |
| 1041C0700X Social Worker, Clinical (Licence: CA 92799) | |
| 104100000X Social Worker (Licence: CA 92799) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2026-07-15 |