| NPI | 1124674676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 138926) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 102762) |
| 101YM0800X Counselor, Mental Health (Licence: CA 102762) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2026-06-15 |