NPI | 1700212925 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW107121) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW63375) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-09-19 |
Last Update Date | 2022-09-21 |