NPI | 1821656752 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 95822) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 95822) |
101YM0800X Counselor, Mental Health | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-06-05 |
Last Update Date | 2023-06-09 |