| NPI | 1316402191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 115728) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 91806) |
| 1041C0700X Social Worker, Clinical | |
| 1041S0200X Social Worker, School (Licence: CA 91806) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2023-09-06 |