| NPI | 1073069183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 101102) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 86021) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2022-03-30 |