| NPI | 1508342387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA lcsw107593) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 89109) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2022-05-12 |