NPI | 1316424609 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 95259) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 95259) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-07-19 |
Last Update Date | 2023-06-09 |