| NPI | 1669992350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW132434) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 225400000X Rehabilitation Practitioner | |
| 101YM0800X Counselor Mental Health (Licence: CA ASW108966) | |
| 104100000X Social Worker (Licence: CA ASW108966) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2025-07-30 |