| NPI | 1760044655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 95555) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW9555) |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW95555) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2023-06-20 |