| NPI | 1194428375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 114370) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 114370) | |
| Enumeration Date | 2023-03-24 |
| Last Update Date | 2023-07-12 |