| NPI | 1679133243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW124782) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 90068) |
| 104100000X Social Worker (Licence: CA ACSW90068) | |
| 1041C0700X Social Worker, Clinical (Licence: CA ACSW90068) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2024-08-05 |