| NPI | 1184182495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 108796) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker Clinical | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2024-06-05 |