NPI | 1831747245 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 100660) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA E3) |
101YM0800X Counselor, Mental Health (Licence: CA 100660) | |
Enumeration Date | 2019-08-28 |
Last Update Date | 2022-10-06 |