NPI | 1326520404 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW107062) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 90815) |
171M00000X Case Manager/Care Coordinator | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-09-05 |
Last Update Date | 2023-12-19 |