NPI | 1184294175 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA ASW109828) |
Additional Taxonomies | 101Y00000X Counselor |
104100000X Social Worker (Licence: CA ASW109828) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-06-30 |
Last Update Date | 2022-09-14 |