NPI | 1114475001 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 94876) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
104100000X Social Worker | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-09-20 |
Last Update Date | 2022-07-21 |