| NPI | 1366912610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW111224) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW91766) |
| 225400000X Rehabilitation Practitioner | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2022-11-08 |