| NPI | 1174870315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 91503) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: CA 91503) | |
| 1041C0700X Social Worker, Clinical (Licence: CA 91503) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 91503) | |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2023-01-27 |