NPI | 1306490834 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 114305) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 114305) |
225400000X Rehabilitation Practitioner | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-08-01 |
Last Update Date | 2023-06-28 |