| NPI | 1912482456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 104235) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 104235) |
| 1041C0700X Social Worker, Clinical | |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW86063) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2021-10-13 |