NPI | 1922516863 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 110592) |
Additional Taxonomies | 104100000X Social Worker |
171M00000X Case Manager/Care Coordinator | |
101YM0800X Counselor, Mental Health (Licence: CA 80452) | |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2018-01-12 |
Last Update Date | 2022-10-04 |