| NPI | 1215300389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 98663) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 69185) |
| 101Y00000X Counselor | |
| 101YM0800X Counselor, Mental Health (Licence: CA 69185) | |
| 104100000X Social Worker (Licence: CA 98663) | |
| 104100000X Social Worker (Licence: CA 69185) | |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2021-12-28 |