NPI | 1376828038 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 99841) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
390200000X Student in an Organized Health Care Education/Training Program | |
101YM0800X Counselor, Mental Health (Licence: CA 72873) | |
Enumeration Date | 2011-10-13 |
Last Update Date | 2021-03-02 |