NPI | 1386045789 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW87438) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW68258) |
101YM0800X Counselor, Mental Health | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-09-05 |
Last Update Date | 2019-08-02 |