| NPI | 1114475001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 94876) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical (Licence: NY 101119) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2025-10-17 |