| NPI | 1427526755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 109822) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW76899) |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW76899) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA ACSW76899) | |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2022-11-08 |