| NPI | 1124504246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 89836) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 89836) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2021-02-23 |