| 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 |