| NPI | 1982074480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 122962) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical (Licence: CA 118398) | |
| 1041C0700X Social Worker, Clinical (Licence: CA 80653) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2024-06-07 |