| NPI | 1548618226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 111723) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW81916) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2023-05-08 |