NPI | 1376063958 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW113215) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 83551) |
171M00000X Case Manager/Care Coordinator | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-06-23 |
Last Update Date | 2023-01-27 |