| NPI | 1033528302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 87300) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 71928) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2019-01-07 |