NPI | 1083168884 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 123082) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 85454) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-08-09 |
Last Update Date | 2024-07-08 |