NPI | 1437529419 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW92927) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW72853) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: CA F1115919) | |
Enumeration Date | 2015-10-02 |
Last Update Date | 2021-08-12 |