| NPI | 1306174453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW90754) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW 32093) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2019-08-13 |