| NPI | 1477961951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 98888) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL TPSW4584) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW66032) | |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2026-02-25 |