NPI | 1811426927 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA ASW90043) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA 90043) |
104100000X Social Worker (Licence: CA 90043) | |
1041C0700X Social Worker, Clinical (Licence: CA 90043) | |
172V00000X Community Health Worker | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-06-12 |
Last Update Date | 2022-04-05 |