| NPI | 1679057384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA L121924) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041C0700X Social Worker Clinical (Licence: ASW95726) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 1041C0700X Social Worker Clinical (Licence: CA ASW95726) | |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2024-04-09 |