NPI | 1366966327 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 116316) |
Additional Taxonomies | 101Y00000X Counselor |
390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 90862) | |
Enumeration Date | 2017-08-01 |
Last Update Date | 2023-07-25 |