NPI | 1609392935 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 113832) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 83889) |
390200000X Student in an Organized Health Care Education/Training Program | |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2017-08-17 |
Last Update Date | 2023-06-28 |