| NPI | 1487053377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW110198) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: ACSW106793) |
| 225400000X Rehabilitation Practitioner | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA ASW70254) | |
| 101YM0800X Counselor Mental Health (Licence: CA ASW70254) | |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2022-09-12 |