NPI | 1316438815 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 120758) |
Additional Taxonomies | 106S00000X Behavior Technician |
390200000X Student in an Organized Health Care Education/Training Program | |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2018-05-21 |
Last Update Date | 2024-06-04 |