NPI | 1538592266 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 88291) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 67520) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-08-16 |
Last Update Date | 2019-03-22 |