| NPI | 1619279452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW107822) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 70750) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2023-02-04 |