| NPI | 1295103612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 103002) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 78643) |
| 1041C0700X Social Worker, Clinical | |
| 101YM0800X Counselor, Mental Health | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2021-08-18 |