| NPI | 1932483625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker (Licence: CA 30518) | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical (Licence: CA 107517) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 30518) | |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2023-10-10 |