| NPI | 1225700958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 109872) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 109872) |
| 171M00000X Case Manager/Care Coordinator | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2023-08-08 |