| NPI | 1922586072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW118720) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 97310) |
| 104100000X Social Worker (Licence: CA ACSW97310) | |
| 1041C0700X Social Worker, Clinical (Licence: CA ACSW97310) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2023-12-07 |