| NPI | 1720355407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW93185) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW71859) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2019-12-17 |