NPI | 1396215836 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 116139) |
Additional Taxonomies | 101Y00000X Counselor |
1041C0700X Social Worker, Clinical (Licence: CA 116139) | |
225400000X Rehabilitation Practitioner | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-11-27 |
Last Update Date | 2023-06-30 |