| NPI | 1396863676 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 85203) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 62206) | 
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2007-03-26 | 
| Last Update Date | 2018-08-29 |