| NPI | 1861968414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 97803) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 97803) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2021-12-22 |