| NPI | 1497139661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW94373) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW71837) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2022-08-11 |