NPI | 1518400704 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW97832) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW79535) |
101YM0800X Counselor, Mental Health (Licence: CA 97832) | |
101YM0800X Counselor, Mental Health | |
171M00000X Case Manager/Care Coordinator | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-11-21 |
Last Update Date | 2020-11-09 |