| NPI | 1568085058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 99730) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101Y00000X Counselor | |
| 101YM0800X Counselor, Mental Health (Licence: CA 99730) | |
| 171M00000X Case Manager/Care Coordinator | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 99730) | |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2021-02-05 |