| NPI | 1225641327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 105161) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 105161) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 390200000X) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 105161) | |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2024-05-06 |