| NPI | 1760993364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 104768) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 09927821) |
| 101YM0800X Counselor, Mental Health (Licence: CA 82436) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2026-03-05 |