| NPI | 1316316920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW99981) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ACSW77941) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA E1906340) | |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2021-02-23 |