| NPI | 1255879953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 99181) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 81466) |
| 171M00000X Case Manager/Care Coordinator | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2020-12-17 |