NPI | 1548755580 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ACSW92201) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
101YM0800X Counselor, Mental Health (Licence: CA 92201) | |
104100000X Social Worker (Licence: CA ACSW92201) | |
Enumeration Date | 2018-06-22 |
Last Update Date | 2023-08-17 |