| NPI | 1831598366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 91912) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 74037) |
| 101YM0800X Counselor Mental Health | |
| 101YS0200X Counselor School | |
| 1041S0200X Social Worker School | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 74037) | |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2020-07-15 |