| NPI | 1417326174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 88526) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA F2068708) |
| 101YM0800X Counselor, Mental Health (Licence: CA 72899) | |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2024-06-20 |