| NPI | 1386181592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 98982) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 84469) |
| 104100000X Social Worker (Licence: CA 84469) | |
| 171M00000X Case Manager/Care Coordinator | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2021-12-04 |