NPI | 1720487895 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 111500) |
Additional Taxonomies | 101Y00000X Counselor |
104100000X Social Worker | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-08-14 |
Last Update Date | 2022-10-31 |