| NPI | 1568981264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW110551) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA LCSW110551) |
| 104100000X Social Worker (Licence: CA ASW84743) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2024-10-15 |