| NPI | 1770967952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 94837) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW94837) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2024-03-20 |