| NPI | 1114440005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 93198) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 101YM0800X Counselor Mental Health (Licence: CA 93198) | |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2023-11-27 |