NPI | 1053810606 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 108015) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
104100000X Social Worker (Licence: CA 89819) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-02-09 |
Last Update Date | 2024-08-09 |