| NPI | 1003362047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW104828) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW83879) |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW83879) | |
| 1041C0700X Social Worker, Clinical | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2021-10-26 |