NPI | 1124504246 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 115354) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 89836) |
104100000X Social Worker (Licence: CA 89836) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-07-11 |
Last Update Date | 2024-10-15 |