| NPI | 1053712372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA LCSW114922) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA LCSW114922) |
| 101Y00000X Counselor | |
| 1041C0700X Social Worker, Clinical (Licence: CA LCSW114922) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2024-03-21 |