| NPI | 1124605456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 104100000X Social Worker (Licence: CA 118669) | |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2026-04-29 |