| NPI | 1124820873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 22147) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1615970525) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2025-03-25 |
| Last Update Date | 2026-04-09 |