NPI | 1780179614 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 110824) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
101YM0800X Counselor, Mental Health (Licence: CA 89434) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-06-23 |
Last Update Date | 2022-10-12 |