NPI | 1326607623 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ACSW98527) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ACSW98527) |
104100000X Social Worker (Licence: CA ACSW98527) | |
106H00000X Marriage & Family Therapist (Licence: CA ACSW98527) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-06-10 |
Last Update Date | 2023-08-17 |