NPI | 1114436102 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 114036) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 95660) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-09-22 |
Last Update Date | 2023-03-13 |