NPI | 1144657537 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 87431) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW68859) |
101YM0800X Counselor, Mental Health (Licence: CA ASW68859) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-10-01 |
Last Update Date | 2024-07-17 |