| NPI | 1558853721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 108567) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 90483) |
| 104100000X Social Worker | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2022-07-07 |