| NPI | 1902157613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 103701) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 103701) |
| 101YM0800X Counselor, Mental Health (Licence: CA 63831) | |
| 171M00000X Case Manager/Care Coordinator (Licence: CA 103701) | |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2022-09-06 |