| NPI | 1295229383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 133166) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 89909) |
| 1041C0700X Social Worker, Clinical (Licence: CA 89909) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2025-08-19 |