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 |