NPI | 1972001899 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 113769) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
104100000X Social Worker | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: CA ASW89224) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-01-25 |
Last Update Date | 2023-02-24 |