| NPI | 1245652510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 124608) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 83827) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2024-07-29 |