| NPI | 1366841306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW97835) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW67504) |
| 101YM0800X Counselor Mental Health (Licence: LCSW97835) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2021-05-19 |