| NPI | 1659996007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW121522) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 121522) |
| 106S00000X Behavior Technician | |
| 1041C0700X Social Worker, Clinical (Licence: CA 97493) | |
| 171M00000X Case Manager/Care Coordinator | |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW97493) | |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2026-07-16 |