NPI | 1407373111 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 94537) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ACSW94537) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-08-23 |
Last Update Date | 2023-06-21 |