| NPI | 1265823033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW127565) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA AWS99552) |
| 171M00000X Case Manager/Care Coordinator (Licence: CA 101YM0800X) | |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2025-02-18 |