NPI | 1376978890 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW80223) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW63940) |
104100000X Social Worker (Licence: CA ASW63940) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-09-04 |
Last Update Date | 2018-03-17 |