| NPI | 1487022117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 97709) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 75394) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2022-05-02 |