| NPI | 1942553045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 92740) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 83012) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2020-08-27 |