| NPI | 1366878985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 86217) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 104100000X Social Worker | |
| 104100000X Social Worker (Licence: CA 66958) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2018-10-23 |