| NPI | 1467855650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 110989) |
| 101YM0800X Counselor, Mental Health (Licence: CA 68529) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2024-04-25 |