NPI | 1164890703 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW101799) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 83447) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-09-14 |
Last Update Date | 2021-06-25 |