| 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 |