| NPI | 1821602095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA LPCC1234) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT12345) |
| 101YM0800X Counselor Mental Health (Licence: CA APCC1234) | |
| 104100000X Social Worker (Licence: CA ACSW12345) | |
| 1041C0700X Social Worker Clinical (Licence: CA LCSW12345) | |
| 167G00000X Licensed Psychiatric Technician (Licence: CA 12345) | |
| 172V00000X Community Health Worker | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 12345678) | |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2024-07-18 |