NPI | 1356724694 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 77638) |
1041C0700X Social Worker Clinical (Licence: CA 110470) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-07-06 |
Last Update Date | 2022-09-21 |