| NPI | 1922656966 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW116294) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 91948) | 
| 104100000X Social Worker (Licence: CA ACSW91948) | |
| 1041C0700X Social Worker, Clinical (Licence: CA ACSW91948) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-09-03 | 
| Last Update Date | 2023-08-14 |