| NPI | 1215508007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA 109277) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 109227) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-07-02 |
| Last Update Date | 2022-08-25 |