NPI | 1144778838 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 103918) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW84465) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-09-12 |
Last Update Date | 2023-11-07 |