NPI | 1316297757 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW101588) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA asw68375) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-09-13 |
Last Update Date | 2022-01-14 |