| NPI | 1194176776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 78128) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: CA 78128) | |
| 104100000X Social Worker (Licence: CA 78128) | |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2022-07-21 |