NPI | 1285097402 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 101348) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 82596) |
104100000X Social Worker (Licence: CA LCSW101348) | |
104100000X Social Worker (Licence: CA ASW82596) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-04-04 |
Last Update Date | 2023-07-05 |