NPI | 1861161630 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ASW110657) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 110657) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-09-07 |
Last Update Date | 2023-06-09 |