NPI | 1235613878 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 95979) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
390200000X Student in an Organized Health Care Education/Training Program | |
101YM0800X Counselor Mental Health (Licence: CA 95979) | |
Enumeration Date | 2018-09-19 |
Last Update Date | 2023-07-28 |