| NPI | 1225446743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 104717) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 80049) |
| 104100000X Social Worker (Licence: CA 80049) | |
| 1041C0700X Social Worker, Clinical | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 80049) | |
| 101Y00000X Counselor | |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2023-06-09 |