| NPI | 1003334897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: CA 89950) | |
| 104100000X Social Worker (Licence: CA 89950) | |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2019-07-26 |