| NPI | 1164084075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 147362) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 16754) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2024-09-25 |