| NPI | 1417566456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 110333) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA ASW81967) |
| 101Y00000X Counselor (Licence: CA ASW81967) | |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2022-09-13 |