NPI | 1801311741 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW102477) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
101YM0800X Counselor, Mental Health (Licence: CA 83354) | |
Enumeration Date | 2017-08-11 |
Last Update Date | 2023-01-11 |