| NPI | 1992934376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 103624) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW84896) |
| 101YM0800X Counselor Mental Health (Licence: CA ASW84896) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2021-09-02 |