| NPI | 1487820452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 75465) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 75465) |
| 1041C0700X Social Worker, Clinical (Licence: CA 75465) | |
| 1041C0700X Social Worker, Clinical (Licence: CA 16883) | |
| 101Y00000X Counselor (Licence: CA 75465) | |
| 1041C0700X Social Worker, Clinical (Licence: CA 28438) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 75465) | |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2021-02-01 |