| 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 | 2020-02-12 |