NPI | 1811123698 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 121100) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 112706) |
101YM0800X Counselor, Mental Health (Licence: CA ASW75318) | |
1041C0700X Social Worker, Clinical (Licence: CA 112706) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2009-06-07 |
Last Update Date | 2024-07-10 |