| NPI | 1982162517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 128030) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA 105335) |
| 171M00000X Case Manager/Care Coordinator | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 105335) | |
| Enumeration Date | 2019-03-02 |
| Last Update Date | 2025-01-22 |