| NPI | 1821602095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA ACSW12345) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW12345) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 106H00000X Marriage & Family Therapist (Licence: CA AMFT12345) | |
| 167G00000X Licensed Psychiatric Technician (Licence: CA 12345) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 12345678) | |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2026-08-26 |