NPI | 1548695174 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 113177) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 91431) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-09-13 |
Last Update Date | 2023-03-06 |