| NPI | 1457808412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 107551) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 79231) |
| 1041C0700X Social Worker Clinical (Licence: CA 79231) | |
| 225400000X Rehabilitation Practitioner | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2022-08-16 |