| NPI | 1912689712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 119729) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 119729) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2024-06-14 |