| NPI | 1134826647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 110565) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 110565) |
| 101YM0800X Counselor, Mental Health (Licence: CA 110565) | |
| Enumeration Date | 2023-02-14 |
| Last Update Date | 2025-03-06 |