NPI | 1114695590 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 111373) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 111373) |
225400000X Rehabilitation Practitioner | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-09-01 |
Last Update Date | 2023-06-30 |