NPI | 1811411085 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 113586) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 90405) |
101YM0800X Counselor, Mental Health | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-07-31 |
Last Update Date | 2023-02-13 |