NPI | 1982135968 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW101920) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
104100000X Social Worker (Licence: CA ASW84601) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-03-22 |
Last Update Date | 2021-06-19 |