| NPI | 1699030072 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 99607) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 99607) | 
| 171M00000X Case Manager/Care Coordinator | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-07-11 | 
| Last Update Date | 2024-02-12 |