NPI | 1417399015 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 79736) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW61819) |
225400000X Rehabilitation Practitioner | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-07-24 |
Last Update Date | 2017-12-04 |