NPI | 1669095535 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
104100000X Social Worker | |
106S00000X Behavior Technician | |
101YM0800X Counselor, Mental Health (Licence: CA 112368) | |
Enumeration Date | 2020-05-26 |
Last Update Date | 2024-10-28 |