| NPI | 1215559901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 109085) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101YM0800X Counselor Mental Health | |
| 101YM0800X Counselor Mental Health (Licence: CA 109085) | |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2023-08-09 |