NPI | 1144579582 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 74439) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA 36372) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-08-30 |
Last Update Date | 2020-03-04 |